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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Donnini David C/O GTCR GOLDER RAUNER LLC, 6100 SEARS TOWER CHICAGO, IL 60606 |
X |
/s/ David A. Donnini | 11/21/2007 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Disposition resulting from Coinmach Holdings, LLC's ("Coinmach Holdings") distribution in kind of all shares of Coinmach Service Corp.'s class B common stock ("Class B Common Stock") to its members (the "Distribution"). |
(2) | The shares of Class B Common Stock disposed pursuant to the Distribution were beneficially held by Coinmach Holdings, of which GTCR-CLC, LLC is a member and effectively controls. The Managing Member of GTCR-CLC, LLC is GTCR Fund VII, L.P. of which GTCR Partners VII, L.P. is the general partner, of which GTCR Golder Rauner L.L.C. ("GTCR") is the general partner. Mr. Donnini is a principal of GTCR. |
(3) | Mr. Donnini disclaims beneficial ownership of such shares, except to the extent of any pecuiniary interest therein. The filing of this form shall not be deemed an admission that Mr. Donnini was, for Section 16 purposes or otherwise, the beneficial owner of such shares. |
(4) | Acquisition by GTCR-CLC, LLC and GTCR Capital Partners L.P., each a member of Coinmach Holdings, as a result of the Distribution. |
(5) | The Managing Member of GTCR-CLC, LLC is GTCR Fund VII, L.P. of which GTCR Partners VII, L.P. is the general partner, of which GTCR is the general partner. The general partner of GTCR Capital Partners, L.P. is GTCR Mezzanine Partners, L.P. of which GTCR Partners VI, L.P. is the general partner, of which GTCR is the general partner. Mr. Donnini is a principal of GTCR. |
(6) | Disposition by GTCR-CLC, LLC and GTCR Capital Partners, L.P. pursuant to the terms and conditions of the Agreement and Plan of Merger, dated as of June 14, 2007, by and among Coinmach Service Corp., Spin Holdco Inc. and Spin Acquisition Co. (the "Merger Agreement") in exchange for $13.55 per share in cash. |
(7) | Disposition by Coinmach Holdings pursuant to the terms and conditions of the Merger Agreement in exchange for $13.55 per share in cash. |
(8) | The shares of Class B Common Stock disposed pursuant to the Merger Agreement were beneficially held by Coinmach Holdings, of which GTCR-CLC, LLC is a member and effectively controls. The Managing Member of GTCR-CLC, LLC is GTCR Fund VII, L.P. of which GTCR Partners VII, L.P. is the general partner, of which GTCR is the general partner. Mr. Donnini is a principal of GTCR. |